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FORM 1

WAIVER FORM
PSME-UPSUs COPY

Date:

To whom it may concern:

This is to authorize my son/daughter to join PSME CUP / BMU /


NMESC / EARGASMECH (encircle) which will be held on September 16 / 22 / 23 / 30 (encircle), 2017 at UP
Diliman / Tomas Morato Avenue, Quezon City. In this regard, I fully agree to waive any responsibility and forever
discharge the University of the Philippines Diliman, the College of Engineering, and the Philippine Society of
Mechanical Engineers UP Student Unit for any untoward incident that may happen before, during, and/or after
the event.

Yours truly,

Parent/Guardians Signature over Printed Name


Contact Number:

---------------------------------------------------------------------------------------------------------------------------
PARTICIPANTs COPY

Date:

To whom it may concern:

This is to authorize my son/daughter to join PSME CUP / BMU /


NMESC / EARGASMECH (encircle) which will be held on September 16 / 22 / 23 / 30 (encircle), 2017 at UP
Diliman / Tomas Morato Avenue, Quezon City. In this regard, I fully agree to waive any responsibility and forever
discharge the University of the Philippines DIliman, the College of Engineering, and the Philippine Society of
Mechanical Engineers UP Student Unit for any untoward incident that may happen before, during, and/or after
the event.

Yours truly,

Parent/Guardians Signature over Printed Name


Contact Number:
FORM 2
CONTRACT OF TERMS AND AGREEMENT

DATE:

The participants from Technological Institute of the Philippines Quezon City, Mechanical Engineering
Department, of the incoming PSME MONTH 2017 understand and conform to all the rules, mechanics and
other guidelines provided by the PSME Month Steering Committee. This document is to ensure that both
parties agree in all the information and conditions indicated in the invitation and other forms.

Signed by:

Jasmine Marie Gamboa Denzel Quinajon


Communications Officer, PSME-UPSU Communications Officer, PSME-UPSU

Nadenne Chua Earl Patrick Caburnay


Overall Head, PSME Month 2017 Overall Head, PSME Month 2017

Engr. Dennis John C. Mamon Adrian L. Manuel


School Adviser School Representative

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